The INTEGRATE program is offered to Carefirst Family Health Team patients that provides comprehensive center and home-based services with the goal of improving quality of life and reducing hospitalizations. INTEGRATE is a team-based practice approach that supports the needs of medically and socially complex elderly patients through utilization of interprofessional collaboration, involving physicians, nurses, social workers, dietitians, physiotherapist, and specialist team members, as well as internal and external service partners. A personalized care plan is developed jointly with patient, family, and INTEGRATE team to meet expressed goals of care and promote quality aging in the community.



For more information, please contact social work team at 416-642-4248